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Ford City RX LLC

Details

Name: Ford City RX LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Aug 2018 (6 years ago) (Companies founded in August 2018)
Entity Number: 000-526-722
Register Number: 000526722
ZIP code: 35652 (Companies in Lauderdale, 35652)
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 2800 HIGHWAY 101ROGERSVILLE, AL 35652

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255807350 2018-10-17 2023-05-12 PO BOX 2584, MUSCLE SHOALS, AL, 356622584, US 14490 COUNTY LINE RD, SUITE B, MUSCLE SHOALS, AL, 35661, US

Contacts

Phone +1 256-446-8400
Fax 2564469656

Authorized person

Name MICHAEL SIGMON
Role MANAGING MEMBER
Phone 2564468400

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 228468
State AL

Agent

Name Role Address
ADAY, KENNETH W JR Agent 2102 JACKSON AVEMUSCLE SHOALS, AL 35661

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State